A Case of Subperiosteal Orbital Hematoma in Patient with Ethmoid and Maxillary Sinusitis.
- Author:
Sae Heun BAEK
1
;
Tae Soo LEE
Author Information
1. Department of Ophthamology, Guro Hospital, Korea University College of Medicine.
- Publication Type:Case Report
- Keywords:
Needle aspiration and open surgical evacuation;
Proptosis;
Subperiosteal orbital hematoma
- MeSH:
Cautery;
Diagnosis;
Exophthalmos;
Hematoma*;
Hemophilia A;
Hemorrhage;
Humans;
Leukemia;
Maxillary Sinus*;
Maxillary Sinusitis*;
Needles;
Orbit*;
Periosteum;
Recurrence;
Retinaldehyde;
Scurvy;
Sinusitis;
Syringes;
Visual Acuity;
Young Adult
- From:Journal of the Korean Ophthalmological Society
1999;40(3):840-846
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Subperiosteal hematoma of the orbit is uncommon and mostly caused by trauma or some general diseases such as leukemia, hemophilia, and scurvy. Subperiosteal yhematoma associated with sinusitis which is not related to trauma and general diseases, however, is extremely rare. The authors report a case of subperiosteal hematoma of the orbit in 22-year-old man without a history of trauma and general diseases. He had proptosis, and sudden decreased visual acuity. Clinical features, and computerized tomography established the diagnosis of subperiosteal orbital hematoma secondary to ethmoid and maxillary sinusities. We could make definitive diagnosis by needle aspiration of blood using 18-gauge needle with a 10ml syringe at our OPD. To avoid complications such as compressive neuropathy, central retinal occlusion, and recurrence of hematoma, we managed it successfully by evacuation of blood and thermal cauterization to bleeding areas of periosteum, or bone.
